Editorial Commentary: Open Versus Arthroscopic Biceps Tenodesis--You Choose

Area of Science:

• Orthopedic Surgery
• Shoulder Arthroscopy
• Biceps Tendon Repair

Background:

• A systematic review evaluated 16 studies comparing arthroscopic and open biceps tenodesis.
• Level IV evidence was used to assess clinical outcomes.

Discussion:

• Both arthroscopic and open biceps tenodesis demonstrated high rates (98%) of good or excellent short-term subjective and objective clinical outcomes.
• Technique selection between arthroscopic and open methods may be influenced by surgeon preference.
• Caution is advised during open tenodesis to avoid vigorous medial retraction, minimizing the risk of nerve injury.

Key Insights:

• High efficacy for both arthroscopic and open biceps tenodesis in the short term.
• Patient outcomes are consistently favorable regardless of surgical approach.
• Surgeon experience and patient factors may guide the choice of technique.

Outlook:

• Further research could explore long-term outcomes and cost-effectiveness of each technique.
• Standardization of surgical techniques may enhance comparability of future studies.
• Minimizing operative risks, such as nerve injury in open procedures, remains a priority.